Active NPI
Regen Health P C
- Family Nurse Practitioner
- Lakewood, NJ
National Provider Identifier
1952179103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- REGEN HEALTH P C
- Practice address
- 187 Enclave Blvd
Lakewood, NJ 08701-5787 - Phone
- (347) 201-2747
- NPI assigned
- Dec 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abraham Leiser, NP
- Title
- Owner
- Phone
- (347) 201-2747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
187 Enclave Blvd
Lakewood, NJ 08701-5787
Mailing address
7 Doolin Rd
New City, NY 10956-1345
Phone (347) 201-2747
National Provider Directory
National Provider DirectoryLocations
368 New Hempstead Rd
Ste 676
New City, NY 10956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1952179103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DOOLIN RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109561345",
"telephone_number": "347-201-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 ENCLAVE BLVD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015787",
"telephone_number": "347-201-2747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGEN HEALTH P C",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-18",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A",
"authorized_official_last_name": "LEISER",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-201-2747",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.